In his "Medical Science under
Dictatorship", published in the New England Journal of Medicine, July,
1949, Dr Alexander observed:

"Whatever proportions these crimes
finally assumed, it became evident to all who investigated them, that they
started from small beginnings. The beginnings at first were merely a subtle
shift in emphasis in the basic attitudes of physicians.

"It started with the acceptance of
the attitude, basic to the euthanasia movement, that there is such a thing as a
life not worthy to be lived.This
attitude in its early stages concerned itself merely with the severely and
chronically sick.

"Gradually the sphere of those to be included in
this category was enlarged to encompass
the socially unproductive, the ideologically unwanted, the racially unwanted,
and finally all non-Germans."... (emphasis added)